| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
8,527 |
1,812 |
$2.48M |
| 90947 |
|
1,820 |
178 |
$478K |
| A4657 |
Syringe, with or without needle, each |
4,891 |
1,495 |
$154K |
| 82040 |
|
558 |
441 |
$15K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,564 |
1,019 |
$4K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,358 |
778 |
$2K |
| 84520 |
|
1,111 |
453 |
$74.24 |
| 82310 |
|
414 |
346 |
$73.80 |
| 84100 |
|
392 |
334 |
$67.26 |
| 84075 |
|
559 |
453 |
$55.35 |
| 82565 |
|
559 |
453 |
$55.35 |
| 84132 |
|
561 |
453 |
$52.05 |
| 84155 |
|
559 |
453 |
$52.05 |
| 84295 |
|
559 |
453 |
$52.05 |
| 82435 |
|
559 |
453 |
$51.93 |
| 82374 |
|
559 |
453 |
$51.81 |
| 90662 |
|
75 |
66 |
$45.42 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
2,783 |
663 |
$0.00 |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
679 |
280 |
$0.00 |
| 82728 |
|
125 |
106 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
111 |
100 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
15 |
13 |
$0.00 |
| 90686 |
|
18 |
16 |
$0.00 |
| 0012A |
|
19 |
17 |
$0.00 |
| 82108 |
|
49 |
43 |
$0.00 |
| 84466 |
|
125 |
106 |
$0.00 |
| 83540 |
|
125 |
106 |
$0.00 |
| 83970 |
|
170 |
138 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
18 |
18 |
$0.00 |